Individual provider Active NPI

Amanda Downs Davis, CNP

  • Family Nurse Practitioner
  • Logan, OH
National Provider Identifier
1073991014
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17242-NP Issued in OH
Practice address
1383 W Hunter St
Logan, OH 43138-1013
Phone
(740) 385-0202
Fax
(740) 380-2734
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.17242-NP OH Primary

Addresses

Primary practice location

1383 W Hunter St
Logan, OH 43138-1013

Mailing address

PO Box 228
Logan, OH 43138-8540
Phone (740) 385-0202

Other identifiers 1

IdentifierTypeStateIssuer
0137438MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adavis608132@direct.osumc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214000016 OH Practitioner - Nurse Practitioner 3476854688 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hocking Valley Community Hospital CurrentSince Dec 1, 2025 Accepting new patients
Hocking Valley Medical Group, Inc. CurrentSince Nov 7, 2015 Accepting new patients
Hocking Valley Community Hospital CurrentSince Dec 1, 2025 Accepting new patients
Hocking Valley Medical Group Transportation CurrentSince Nov 7, 2015 Accepting new patients

Locations

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

1383 W Hunter St
Logan, OH 43138
Phone (740) 385-0202

Interoperability endpoints

  • Direct secure messaging: adavis608132@direct.osumc.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1073991014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388540",
            "telephone_number": "740-385-0202",
            "fax_number": "740-385-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 W HUNTER ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381013",
            "telephone_number": "740-385-0202",
            "fax_number": "740-380-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS DAVIS",
        "first_name": "AMANDA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17242-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137438",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adavis608132@direct.osumc.edu",
            "affiliation": "N",
            "endpointDescription": "Hocking Valley Community Hospital, Rural Health Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1383 W Hunter St",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431381013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.